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Organization
TM LEGACY SOLUTION
Active
Organization
TM LEGACY SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYKESHIA L JOHNSON (OWNER/AUTHORIZED)
(601) 506-0194
Entity
Organization
Contact information
Practice address
160 BROADWAY ST APT H6, CLINTON, MS 39056-4833
(601) 506-0194
Mailing address
160 BROADWAY ST APT H6, CLINTON, MS 39056-4833
(601) 506-0194
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/09/2026
Last updated
09/09/2026
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